<?php
/********************************************************
** Copyright 2010-2013. Todos los derechos reservados. **
** Desarrollado y Gestionado por:					   **
** Sugey Quintero (Analista)						   **
** José G. De Freitas (Programador)					   **
** Klaudia Uribe (Diseñadora Web)					   **
** Cesar Isturiz (Diseñador Web)					   **
**				S E A  v1.0							   **
*********************************************************/

session_start();
include("conexion2.php");

	if (isset($_SESSION['name']) and isset($_SESSION['tiempo'])) {
        include("Tiempo.php");
		date_default_timezone_set('America/Caracas'); setlocale(LC_TIME, 'spanish');
		$usuario = $_SESSION['name'];
		$fecha = date("Y-m-d H:i:s");
		$auditoria = mysql_query("INSERT INTO auditoria SELECT '$usuario', '$fecha' , 'Registro estudiante nuevo liceo' ");

    }else {
		echo "<script>alert('Debe ingresar al sistema primero');</script>";
		echo "<script>document.location.href='index.php';</script>";
	}
include("conexion.php");
?>

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Estudiante Nuevo</title>
<link rel="shortcut icon" type="image/x-icon" href="../favicon.ico">
<link href="style.css" rel="stylesheet" type="text/css" />
<!-- calendario-->
<link rel="stylesheet" type="text/css" href="src/css/jscal2.css" />
<link rel="stylesheet" type="text/css" href="src/css/border-radius.css" />
<link rel="stylesheet" type="text/css" href="src/css/steel/steel.css" />
<script type="text/javascript" src="src/js/jscal2.js"></script>
<script type="text/javascript" src="src/js/lang/es.js"></script>
<!-- fin calendario-->
<!-- botones-->
<link type="text/css" href="js/css/smoothness/jquery-ui-1.8.16.custom.css" rel="Stylesheet" />      
<script type="text/javascript" src="js/jquery-1.6.2.min.js"></script>
<script type="text/javascript" src="js/jquery-ui-1.8.16.custom.min.js"></script>
<script type="text/javascript" src="js/ValidarEstNuevo.js"></script>
<script type="text/javascript" src="js/prototype.js"></script>
<script type="text/javascript" src="js/rounded-corners.js"></script>
<script type="text/javascript" src="js/form-field-tooltip.js"></script>
<script>
var j$ = jQuery.noConflict();
j$(document).ready(function(){
j$(".button").button();
Validar();
});

j$(function(){
	j$('#menu li a').click(function(event){
		var elem = j$(this).next();
		if(elem.is('ul')){
			event.preventDefault();
			j$('#menu ul:visible').not(elem).slideUp();
			elem.slideToggle();
		}
	});
});

function comprobar_a()
{  
  var url = 'http://127.0.0.1/sistema/sistema_liceo/comprobar_a.php';
  var pars= ('cedula=' + document.getElementById('cedula').value);
  var myAjax = new Ajax.Updater( 'comprobar_mensaje_a', url, { method: 'get', parameters: pars});
}
function comprobar_r()
{  
  var url = 'http://127.0.0.1/sistema/sistema_liceo/comprobar_r.php';
  var pars1= ('cedula_m=' + document.getElementById('cedula_m').value);
  var myAjax1 = new Ajax.Updater( 'comprobar_mensaje_r', url, { method: 'get', parameters: pars1});
}

<!--Mostrar u ocultar el representante-->

function repre(r){ 
	if (r=="m"){
	document.getElementById('madre').style.display="inline";
	document.getElementById('padre').style.display="none";
	document.getElementById('otro').style.display="none";
	}else if (r=="p"){
	document.getElementById('padre').style.display="inline";
	document.getElementById('madre').style.display="none";
	document.getElementById('otro').style.display="none";
	}else if (r=="o"){
	document.getElementById('otro').style.display="inline";
	document.getElementById('madre').style.display="none";
	document.getElementById('padre').style.display="none";
	}
}

<!--Mostrar u ocultar las materias-->

function materias(mat){ 
	if (mat=="1er"){
	document.getElementById('materias_s').style.display="inline";
	document.getElementById('materias_o').style.display="none";
	document.getElementById('materias_n').style.display="none";
	}else if (mat=="2do"){
	document.getElementById('materias_o').style.display="inline";
	document.getElementById('materias_s').style.display="none";
	document.getElementById('materias_n').style.display="none";
	}else if (mat=="3er"){
	document.getElementById('materias_n').style.display="inline";
	document.getElementById('materias_s').style.display="none";
	document.getElementById('materias_o').style.display="none";
	}
}

//seleccionar o deseleccionar checkbox
var checkflag = "false";
function check(field) {
if (checkflag == "false") {
for (i = 0; i < field.length; i++) {
field[i].checked = true;}
checkflag = "true";
return "Desmarcar todos"; }
else {
for (i = 0; i < field.length; i++) {
field[i].checked = false; }
checkflag = "false";
return "Marcar todos"; }
}

//deshabilita select en recaudos
function DeshabilitaSelect()
{
	if (document.getElementById("fotos_r").checked) {
		document.getElementById("fot_r").disabled = false;
	} else {
		document.getElementById("fot_r").disabled = true;
	}if (document.getElementById("fotos_a").checked) {
		document.getElementById("fot_a").disabled = false;
	} else {
		document.getElementById("fot_a").disabled = true;
	}
}

<!--
var nav4 = window.Event ? true : false;
function acceptNum(evt){   
var key = nav4 ? evt.which : evt.keyCode;   
return (key <= 13 || (key>= 48 && key <= 57));
}
//-->

function verifyInput(_selList,_textBox,pos) {
	document.getElementById('cedula').readOnly = false;
	document.getElementById('cedula_m').readOnly = false;
	document.getElementById('cedula_p').readOnly = false;
	document.getElementById('cedula_o').readOnly = false;
	var SI = eval(_selList+".selectedIndex");
	var SV = eval(_selList+".options[SI].value");
	eval(_textBox+".value = SV");
	var a = eval(_selList+".options.selectedIndex=0");
	if (pos=='0'){
		document.inscripcion.cedula.focus();
	}else if (pos=='1'){
		document.inscripcion.cedula_m.focus()
	}else if (pos=='2'){
		document.inscripcion.cedula_p.focus()
	}else if (pos=='3'){
		document.inscripcion.cedula_o.focus()
	}
}
</script>
</head>
<body>
<div id="wrap">
<div id="header">
<div id="hora">
<?php include("Hora.php"); ?>
</div>
<div id="topnav">
	<?php include("MenuSuperior.php"); ?>
</div>
</div>
<div id="content">
<div id="left">
<div class="post">
<div class="post_h">

</div>

<div class="postcontent">
<form name="inscripcion" id="inscripcion" action="plani1_res.php" method="POST">
<blockquote><h2 align="center">ESTUDIANTE NUEVO</h2></blockquote>		
		<label><font color=#FF0000>(*) Campos obligatorios</font></label>
			<fieldset>
			<legend align=left><b><font size=2>ESTUDIANTE</font></b></legend>
			<table width=100% cellspacing=5 cellpadding=0 border=0>
			<tr>
				<td>Per&iacute;odo: </td><td><?php if(date(m)>=8){ $anio=date(Y); $anio2=$anio+1; echo "$anio - $anio2"; } else{ $anio=date(Y)-1; $anio2=$anio+1; echo "$anio - $anio2"; } ?></td>
				<input type=hidden name='periodo' value='<?php if(date(m)>=8){ $anio=date(Y); $anio2=$anio+1; echo "$anio - $anio2"; } else{ $anio=date(Y)-1; $anio2=$anio+1; echo "$anio - $anio2"; } ?>'>
			</tr>
			<tr>
				<td width=50%><label style='color: #FF0000'>*</label>C&eacute;dula: </td><td><select name='Nac_e' onchange="verifyInput('document.inscripcion.Nac_e','document.inscripcion.cedula','0')"><option></option><option value='V-'>V-</option><option value='E-'>E-</option></select><input name='cedula' id='cedula' onKeyUp='comprobar_a(this.value)' onKeyPress='return acceptNum(event)' size=8 maxlength=10 readonly tooltipText="Ej: V-21253108">&nbsp;&nbsp;<span id='comprobar_mensaje_a'></span></td>
			</tr>
			<tr>
				<td><label style='color: #FF0000'>*</label>Nombres: </td><td><input type="text" name="nombre" id="nombre" size=35 tooltipText="Ej: Luis Miguel"></td>
			</tr>
			<tr>
				<td><label style='color: #FF0000'>*</label>Apellidos: </td><td><input type="text" name="apellido" id="apellido" size=35 tooltipText="Ej: Marquez Gomez"></td>
			</tr>
			<tr>
				<td>Lugar de Nac.: </td><td><input type="text" name="lugar_nac" id="lugar_nac" size=35 tooltipText="Ej: La Victoria"></td>		
			</tr>
			<tr>	
				<td><label style='color: #FF0000'>*</label>Fecha de Nac.: </td><td><select name="f_nac_dia" id="f_nac_dia"><option value=''>Dia</option>
					<?php for ($dia=1;$dia<32;$dia++){ echo "<option>$dia</option>"; } ?></select>

					<select name="f_nac_mes" id="f_nac_mes"><option value=''>Mes</option>
								<option value='1'>Enero</option>
								<option value='2'>Febrero</option>
								<option value='3'>Marzo</option>
								<option value='4'>Abril</option>
								<option value='5'>Mayo</option>
								<option value='6'>Junio</option>
								<option value='7'>Julio</option>
								<option value='8'>Agosto</option>
								<option value='9'>Septiembre</option>
								<option value='10'>Octubre</option>
								<option value='11'>Noviembre</option>
								<option value='12'>Diciembre</option></select>

					<select name="f_nac_ano" id="f_nac_ano"><option value=''>A&ntilde;o</option>
					<?php $ano=1980; for ($ano;$ano<=date(Y)-10;$ano++){ echo "<option>$ano</option>"; } ?></select></td>
			</tr>
			<tr>
				<td>Sexo: </td><td><input type="radio" name="sexo" id="sexo" value="M">M
						<input type="radio" name="sexo" id="sexo" value="F">F</td>
			</tr>
			<tr>
				<td><label style='color: #FF0000'>*</label>Vive con: </td><td><input type=radio name="vive" id="vive" value=Madre>Madre
							  <input type=radio name="vive" id="vive" value=Padre>Padre
							  <input type=radio name="vive" id="vive" value=Otro>Otro</td>
			</tr>
			<tr>
				<td>Cantidad de Hermanos: </td><td><input type=text name="herma" id="herma" onKeyPress='return acceptNum(event)' size=1 maxLength=2 tooltipText="Ej: 4" ></td>
			</tr>
			<tr>	
				<td>Vive con Ellos: </td><td><input type=radio name="vive_e" id="vive_e" value=Si>Si
									<input type=radio name="vive_e" id="vive_e" value=No>No</td>
			</tr>
			<tr>
				<td><label style='color: #FF0000'>*</label>Direcci&oacute;n: </td><td><input type=text name="direc" id="direc" size=35 tooltipText="Ej: av 03 N#55 La mora" ></td>
			</tr>
			<tr>
				<td>Peso: </td><td><input type="text" name="peso" id="peso" onKeyPress='return acceptNum(event)' size=2 maxLength=5 tooltipText="Ej: 30"> kg</td>
			</tr>
			<tr>
				<td>Estatura: </td><td><input type="text" name="estatura" id="estatura" size=2 maxLength=5 tooltipText="Ej: 1.50"> mts</td>
			</tr>
			<tr>
				<th colspan=2>Talla</th>
			</tr>
			<tr>
				<td>Camisa / Pantal&oacute;n / Zapatos: </td><td><input type="text" name="camisa" id="camisa" size="2" maxLength=2 tooltipText="Ej: 10, 12, 14, S, L, M"> / <input type="text" name="pantalon" size="2" maxLength=2 tooltipText="Ej: 10, 12, 14"> / <input type="text" name="zapato" size="2" maxLength=2 tooltipText="Ej: 36, 38, 40"></td>
			</tr>
			</table>
			</fieldset>
			
<div class="post">
<span></span></div>

<!--Datos academicos-->
			<fieldset>
			<legend align=left><b><font size=2>DATOS ACADEMICOS</font></b></legend>
			<table width=100% cellspacing=3 cellpadding=0 border=0>
				<tr>
					<td width=50%><label style='color: #FF0000'>*</label>Plantel de procedencia: </td><td><input type="text" name="plantel_p" id="plantel_p" maxLength=50 size=35 tooltipText="Ej: E.B.N la mora"></td>
				</tr>
				<tr>
					<td><label style='color: #FF0000'>*</label>Repite: </td><td><input type="radio" name="repite" id="repite" value='Si'>Si <input type="radio" id="repite2" name="repite" value='No'>No
				</tr>
				<tr>
					<td><label style='color: #FF0000'>*</label>Grado a cursar / Secci&oacute;n</td><td><select name="grado" id="grado" onChange="materias(this.value)"><option></option>
												<option value='1er'>1er A&ntilde;o</option>
												<option value='2do'>2do A&ntilde;o</option>
												<option value='3er'>3er A&ntilde;o</option></select> / 
							
												<select name="seccion" id="seccion"><option></option>
												<option>A</option>
												<option>B</option></select></td>
				</tr>
				</table>
						<!-- materias de septimo-->
						<table id=materias_s style="display: none;" border=0 width=100%>
							<tr>
								<td width=58%><b>Materias a cursar: </b></td>
								<td>
									<input type=checkbox name="materia[]" value=11 id=p>Castellano&nbsp;<input type=checkbox name="materia[]" value=21 id=p>Ingles<br>
									<input type=checkbox name="materia[]" value=31 id=p>Matematica&nbsp;<input type=checkbox name="materia[]" value=41 id=p>Est. Nat<br>
									<input type=checkbox name="materia[]" value=51 id=p>Hist. Vzla&nbsp;<input type=checkbox name="materia[]" value=61 id=p>Educ. Fam.<br>
									<input type=checkbox name="materia[]" value=71 id=p>Geografia Gen.&nbsp;<input type=checkbox name="materia[]" value=81 id=p>Educ. Artistica<br>
									<input type=checkbox name="materia[]" value=91 id=p>Educ. Fisica&nbsp;<input type=checkbox name="materia[]" value=101 id=p>Dibujo<br>
									<input type=checkbox name="materia[]" value=111 id=p>Comercio<br>
									<input class=button type="button" value="Marcar todos" onClick="this.value=check(this.form.p)"></td>
							</tr>
							</table>
						<!-- materias de octavo-->
						<table id=materias_o style="display: none;" border=0 width=100%>
							<tr>
								<td width=56%><b>Materias a cursar: </b></td>
								<td>
									<input type=checkbox name="materia[]" value=12 id=s>Castellano&nbsp;<input type=checkbox name="materia[]" value=22 id=s>Ingles<br>
									<input type=checkbox name="materia[]" value=32 id=s>Matematica&nbsp;<input type=checkbox name="materia[]" value=42 id=s>Biologia<br>
									<input type=checkbox name="materia[]" value=52 id=s>Hist. Vzla&nbsp;<input type=checkbox name="materia[]" value=62 id=s>Hist. Universal<br>
									<input type=checkbox name="materia[]" value=72 id=s>Educ. Artistica&nbsp;<input type=checkbox name="materia[]" value=82 id=s>Salud<br>
									<input type=checkbox name="materia[]" value=92 id=s>Educ. Fisica&nbsp;&nbsp;&nbsp;<input type=checkbox name="materia[]" value=102 id=s>Dibujo&nbsp;<input type=checkbox name="materia[]" value=112 id=s>Comercio<br>
									<input class=button type="button" value="Marcar todos" onClick="this.value=check(this.form.s)"></td>
							</tr>
						</table>
						<!-- materias de noveno-->
						<table id=materias_n style="display: none;" border=0 width=100%>
							<tr>
								<td width=57%><b>Materias a cursar: </b></td>
								<td>
									<input type=checkbox name="materia[]" value=13 id=t>Castellano&nbsp;<input type=checkbox name="materia[]" value=23 id=t>Ingles<br>
									<input type=checkbox name="materia[]" value=33 id=t>Matematica&nbsp;<input type=checkbox name="materia[]" value=43 id=t>Cs Biologicas<br>
									<input type=checkbox name="materia[]" value=53 id=t>Fisica&nbsp;<input type=checkbox name="materia[]" value=63 id=t>Quimica<br>
									<input type=checkbox name="materia[]" value=73 id=t>Catedra Boliv.&nbsp;<input type=checkbox name="materia[]" value=83 id=t>Geografia<br>
									<input type=checkbox name="materia[]" value=93 id=t>Educ. Fisica&nbsp;<input type=checkbox name="materia[]" value=103 id=t>Dibujo&nbsp;<input type=checkbox name="materia[]" value=113 id=t>Comercio<br>
									<input class=button type="button" value="Marcar todos" onClick="this.value=check(this.form.t)"></td>
							</tr>
						</table>

				</fieldset>

<div class="post">
<span></span></div>

<!--Grupo familiar-->				
				<fieldset>
				<legend align=left><b><font size=2>GRUPO FAMILIAR</font></b></legend>
				<table width=100% cellspacing=5 cellpadding=0 border=0>
					<tr>
						<th><label style='color: #FF0000'>*</label>Representante Legal: <input checked type="radio" name="representante" id="representante" value=m onClick="repre(this.value)">Madre
												 <input type="radio" name="representante" id="representante" value=p onChange="repre(this.value)">Padre
												 <input type="radio" name="representante" id="representante" value=o onChange="repre(this.value)">Otro</th>
					</tr>
					<tr>
						<td colspan=3>
							<fieldset id=madre style="display:inline; width:100%">
							<legend align=left><b>Madre</b></legend>
								<table width=100% cellspacing=3 cellpadding=0  border=0>
									<tr>
										<td width=50%><label style='color: #FF0000'>*</label>C&eacute;dula: </td><td><select name='Nac_m' onchange="verifyInput('document.inscripcion.Nac_m','document.inscripcion.cedula_m','1')"><option></option><option value='V-'>V-</option><option value='E-'>E-</option></select><input name='cedula_m' id='cedula_m' onKeyUp='comprobar_r(this.value)' onKeyPress='return acceptNum(event)' size=8 maxlength=10 readonly tooltipText="Ej: V-21253108">&nbsp;&nbsp;<span id='comprobar_mensaje_r'></span></td>
									</tr>
									<tr>
										<td><label style='color: #FF0000'>*</label>Nombres: </td><td><input type="text" name="nombre_m" id="nombre_m" size="20" maxLength=20 tooltipText="Ej: Maria"></td>
									</tr>
									<tr>	
										<td><label style='color: #FF0000'>*</label>Apellidos: </td><td><input type="text" name="apellido_m" id="apellido_m" size="20" maxLength=20 tooltipText="Ej: Rodriguez"></td>
									</tr>
									<tr>
										<td>Edad: </td><td><input type="text" name="edad_m" id="edad_m" size="2" maxLength=2 onKeyPress='return acceptNum(event)'></td>
									</tr>
									<tr>	
										<td>Tel&eacute;fono: </td><td><input type="text" name="telef_m" id="telef_m" maxlength=11></td>
									</tr>
									<tr>	
										<td>Grado de Instrucci&oacute;n: </td><td><select name="instruc_m" id="instruc_m">
																	<option></option>
																	<option>B&aacute;sica</option>
																	<option>Secundaria</option>
																	<option>Universitaria</option>
																</select></td>
									</tr>
									<tr>
										<td>Direcci&oacute;n: </td><td><input type=text name="direc_m" id="direc_m"></td>
									</tr>
									<tr>
										<td>Ocupaci&oacute;n: </td><td><input type="text" name="ocupacion_m" id="ocupacion_m" size="20" maxLength=20></td>
									</tr>
									<tr>	
										<td>Edo Civil: </td><td><select name="edo_civil_m" id="edo_civil_m">
														<option></option>								
														<option>Soltero(a)</option>
														<option>Casado(a)</option>
														<option>Divorciado(a)</option>
														<option>Viudo(a)</option>
														</select></td>
									</tr>
								</table>
							</fieldset></td>
					</tr>
					<tr>
						<td colspan=3>
							<fieldset id=padre style="display:none; width:100%">
							<legend align=left><b>Padre</b></legend>
								<table width=100% cellspacing=3 cellpadding=0 border=0>
									<tr>
										<td width=50%><label style='color: #FF0000'>*</label>C&eacute;dula: </td><td><select name='Nac_p' onchange="verifyInput('document.inscripcion.Nac_p','document.inscripcion.cedula_p','2')"><option></option><option value='V-'>V-</option><option value='E-'>E-</option></select><input name='cedula_p' id='cedula_p' onKeyPress='return acceptNum(event)' size=8 maxlength=10 readonly tooltipText="Ej: V-21253108"></td>
									</tr>
									<tr>
										<td><label style='color: #FF0000'>*</label>Nombres: </td><td><input type="text" name="nombre_p" id="nombre_p" size="20" maxLength=20></td>
									</tr>
									<tr>	
										<td><label style='color: #FF0000'>*</label>Apellidos: </td><td><input type="text" name="apellido_p" id="apellido_p" size="20" maxLength=20></td>
									</tr>
									<tr>		
										<td>Edad: </td><td><input type="text" name="edad_p" id="edad_p" size="2" maxLength=2 onKeyPress='return acceptNum(event)'></td>
									</tr>
									<tr>	
										<td>Tel&eacute;fono: </td><td><input type="text" name="telef_p" id="telef_p" maxlength=11></td>
									</tr>
									<tr>	
										<td>Grado de Instrucci&oacute;n: </td><td><select name="instruc_p" id="instruc_p">
																	<option></option>
																	<option>B&aacute;sica</option>
																	<option>Secundaria</option>
																	<option>Universitaria</option>
																</select></td>
									</tr>
									<tr>
										<td>*Direcci&oacute;n: </td><td><input type=text name="direc_p" id="direc_p"></td>
									</tr>
									<tr>
										<td>Ocupaci&oacute;n: </td><td><input type="text" name="ocupacion_p" id="ocupacion_p" size="20" maxLength=20></td>
									</tr>
									<tr>	
										<td>Edo Civil: </td><td><select name="edo_civil_p" id="edo_civil_p">
														<option></option>								
														<option value=s>Soltero(a)</option>
														<option value=c>Casado(a)</option>
														<option value=d>Divorciado(a)</option>
														<option value=v>Viudo(a)</option>
														</select></td>
									</tr>
								</table>
							</fieldset></td>
					</tr>
					<tr>
						<td colspan=3>
							<fieldset id=otro style="display:none; width:100%">
							<legend align=left><b>Otro</b></legend>
								<table width=100% cellspacing=2 cellpadding=0 border=0>
									<tr>
										<td width=50%><label style='color: #FF0000'>*</label>C&eacute;dula: </td><td><select name='Nac_o' onchange="verifyInput('document.inscripcion.Nac_o','document.inscripcion.cedula_o','3')"><option></option><option value='V-'>V-</option><option value='E-'>E-</option></select><input name='cedula_o' id='cedula_o' onKeyPress='return acceptNum(event)' size=8 maxlength=10 readonly tooltipText="Ej: V-21253108"></td>
									</tr>
									<tr>	
										<td><label style='color: #FF0000'>*</label>Nombres: </td><td><input type="text" name="nombre_o" id="nombre_o" size="20" maxLength=20></td>
									</tr>
									<tr>	
										<td><label style='color: #FF0000'>*</label>Apellidos: </td><td><input type="text" name="apellido_o" id="apellido_o" size="20" maxLength=20></td>
									</tr>
									<tr>			
										<td>Edad: </td><td><input type="text" name="edad_o" id="edad_o" size="2" maxLength=2 onKeyPress='return acceptNum(event)'></td>
									</tr>
									<tr>	
										<td>*Tel&eacute;fono: </td><td><input type="text" name="telef_o" id="telef_o" maxlength=11></td>
									</tr>
									<tr>	
										<td>Grado de Instrucci&oacute;n: </td><td><select name="instruc_o" id="instruc_o">
																<option></option>
																<option>B&aacute;sica</option>
																<option>Secundaria</option>
																<option>Universitaria</option>
																</select></td>
									</tr>
									<tr>
										<td>Direcci&oacute;n: </td><td><input type=text name="direc_o" id="direc_o"></td>
									</tr>
									<tr>
										<td>Ocupaci&oacute;n: </td><td><input type="text" name="ocupacion_o" id="ocupacion_o" size="20" maxLength=20></td>
									</tr>
									<tr>	
										<td>Edo Civil: </td><td><select name="edo_civil_o" id="edo_civil_o">
														<option></option>								
														<option value=s>Soltero(a)</option>
														<option value=c>Casado(a)</option>
														<option value=d>Divorciado(a)</option>
														<option value=v>Viudo(a)</option>
														</select></td>
									</tr>
									<tr>	
										<td><label style='color: #FF0000'>*</label>Parentesco: </td><td><select name='parentesco_o' id='parentesco_o'>
												<option></option>
												<option>Madre</option>
												<option>Padre</option>
												<option>Tio(a)</option>
												<option>Abuelo(a)</option>
												<option>Otro...</option></select></td>
									</tr>
								</table>
							</fieldset></td>
					</tr>
				</table>
			</fieldset>

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						<td width=33%><input type=checkbox name=par_nac> Partida de Nac.</td>
						<td width=33%><input type=checkbox name=fotos_r id=fotos_r onClick=DeshabilitaSelect();> Fotos Rep. <select name=fot_r id=fot_r disabled><option></option><option>1</option><option>2</option></select></td>
						<td width=33%><input type=checkbox name=fotos_a id=fotos_a onClick=DeshabilitaSelect();> Fotos Est <select name=fot_a id=fot_a disabled><option></option><option>1</option><option>2</option><option>3</option><option>4</option></select></td>
					</tr>
					<tr>
						<td><input type=checkbox name=c_ced_a> Fotocopia C.I. Est.</td>
						<td><input type=checkbox name=c_ced_r> Fotocopia C.I. Rep.</td>
						<td><input type=checkbox name=constancia_ant> Constancia Estudio a&ntilde;o anterior</td>
					</tr>
				</table>
			</fieldset>

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<P>&reg; Derechos Reservados @ CopyRight. 2011-2012</P>
<p>Programadores: Quintero E, Isturiz C, Uribe C, De Freitas J.</p>
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